Organization
ST LUKE'S PHYSICIAN GROUP INC
Active
Other names
St. Luke's Urogynecology
Organization subpart
No
Provider details
NPI number
Authorized official
SUE CHIAVAROLI (MANAGER)
(484) 526-3569
Entity
Organization
Contact information
Practice address
419 S BROAD ST UNIT 4, LANSDALE, PA 19446-3703
(215) 536-3200
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4000
Taxonomy
Speciality
Code
Description
License number
State
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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